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HomeMy WebLinkAboutPermit Mechanical 2013-5-29 • • SPRINGFIELD 2t CITY OF SPRINGFIELD Springfield25 Fifth S,OR 97477 ; i . .' Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-00842 www.springfield-or.gov permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 05/29/2013 EXPIRES: 11/24/2013 . STATUS DATE: 05/29/2013 APPLIED: 04/29/2013 • SITE ADDRESS: 2730 GATEWAY ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703220002305 • TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Install new refrigeration equipment OWNER: GATEWAY MALL PARTNERS Phone Number: ADDRESS: PO BOX 617905 CHICAGO IL 60661-7905 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor SOURCE REFRIGERATION 8 HVAC INC CCB 149200 10/01/2013 714-578-2300 L. INSPECTIONS REQUIRED Inspections . 2250 Gas Piping • 2300 Rough Mechanical Rough Mechanical: Prior to Cover 2999 Final Mechanical Final Mechanical: When all mechanical work is complete. • By signature, I state and agree,that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein,and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street,that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construe' . / ('� 4, / . r C-2-1'17 Owner •Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- - 0090. You may obtain copies of the rules by i1!ICE: calling the center. (Note: the felen'..-:>:. number for the Oregon t It,p'v ., HIS PERMIT SHALL EXPIRE IF THE WORK Center ;s 1-F' :: I • UTHORIZED UNDER THIS PERMIT IS NOT OMMENCED OR IS ABANDONED FOR NY 180 DAY PERIOD. Springfield Building permit 5/29/2013 4:55:27PM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD 14 °� 225 Fifth St E�aN TRANSACTION RECEIPT Spnngfeld,OR97477 541-726-3753 811-SPR2013-00842 www.spnngtfeld-or.gov 2730 GATEWAY ST pennitcenter @spnngfield-or.gov RECEIPT NO: 2013001058 RECORD NO: 811-SPR2013-00842 DATE:05/29/2013 0 nit,. 1 r ,,v .z3< `o:.r4 " `+`.-.::� , : :''ACCOUNT e e a : : 0 0 4 _'°.',..,, .';k=/'(n?o"1Tfth7 ;d, Mechanical Permit fee(based on value of work) 224-00000-425604 1006 1,475.85 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 177.10 Technology fee(5%of permit total) 100-00000-425605 2099 73.79 TOTAL DUE: 1,726.74 11 weCPtYMENTTY. 0E P.AYOR"AstilEri: uRSON 6 COMMENT&�`aL AMOUN P,_AJ I Check SOURCE REFRIGERATION&HVAC I 1,726.74 1279 TOTAL PAID: 1,726.74 •